Deep vein thrombosis (DVT)

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Risk factors

By Mayo Clinic staff

Many factors can increase your risk of developing deep vein thrombosis (DVT), including:

  • Sitting for long periods of time, such as when driving or flying. When your legs remain still for long periods, your calf muscles don't contract, which normally helps blood circulate. Blood clots can form in the calves of your legs if your calf muscles aren't moving. Although sitting for long periods is a risk factor, your chance of developing deep vein thrombosis while flying or driving is relatively low.
  • Inheriting a blood-clotting disorder. Some people inherit a disorder that makes their blood clot more easily. This inherited condition may not cause problems unless combined with one or more other risk factors.
  • Prolonged bed rest, such as during a long hospital stay, or paralysis. When your legs remain still for long periods, your calf muscles don't contract to help blood circulate, which can make blood clots develop.
  • Injury or surgery. Injury to your veins or surgery can slow blood flow, increasing the risk of blood clots. General anesthetics used during surgery can make your veins wider (dilate), which can increase the risk of blood pooling and then clotting.
  • Pregnancy. Pregnancy increases the pressure in the veins in your pelvis and legs. Women with an inherited clotting disorder are especially at risk. The risk of blood clots from pregnancy can continue for up to six weeks after you have your baby.
  • Cancer. Some forms of cancer increase the amount of substances in your blood that cause your blood to clot. Some forms of cancer treatment also increase the risk of blood clots.
  • Heart failure. People with heart failure are at risk of DVT because a damaged heart doesn't pump blood as effectively as a normal heart does. This increases the chance that blood will pool and clot.
  • Birth control pills or hormone replacement therapy. Oral contraceptives (birth control pills) and hormone replacement therapy both can increase your blood's ability to clot.
  • A pacemaker or a thin, flexible tube (catheter) in a vein. These medical treatments can irritate the blood vessel wall and decrease blood flow.
  • A history of deep vein thrombosis or pulmonary embolism. If you've had DVT before, you're more likely to have DVT in the future.
  • A family history of deep vein thrombosis or pulmonary embolism. If someone in your family has had DVT or a pulmonary embolism, your risk of developing DVT is increased.
  • Being overweight or obese. Being overweight increases the pressure in the veins in your pelvis and legs.
  • Smoking. Smoking affects blood clotting and circulation, which can increase your risk of DVT.
References
  1. Deep vein thrombosis. National Heart Lung and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/Dvt/DVT_All.html. Accessed June 17, 2009.
  2. Are you at risk for deep vein thrombosis? Centers for Disease Control and Prevention. http://www.cdc.gov/Features/Thrombosis. Accessed June 17, 2009.
  3. Kyrle P, et al. Deep vein thrombosis. The Lancet. 2005;365:1163.
  4. Heit JA. The epidemiology of venous thromboembolism in the community. Atherosclerosis, Thrombosis and Vascular Biology. 2008;28:370.
  5. Landaw SA, et al. Approach to the diagnosis and therapy of deep vein thrombosis. http://www.uptodate.com/home/index.html. Accessed May 12, 2009.
  6. Grant BJB. Diagnosis of suspected deep vein thrombosis of the lower extremity. http://www.uptodate.com/home/index.html. Accessed May 12, 2009.
  7. Prevention of deep vein thrombosis. Rockville, Md.: Agency for Healthcare Research and Quality. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=9266&nbr=4960. Accessed June 17, 2009.

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Aug. 8, 2009

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